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Tom_ ® PROOF OF SERVICE -SUMMONS (Use separate progf of service for each person served) 1. I served the a. 0 summons =complaint 0 amended summons amended complaint completed and blank Case Questionnaires 0 Other(specify): b. on defendant(name): c. by serving 0 defendant 0 other(name and title or relationship to person served): d. by delivery =at home at business (1) date: (2) time: (3) address: e. by mailing (1) date: (2) place: 2. Manner of service(check proper box): a. Personal service. By personally delivering copies. (CCP 415.10) b. 0 Substituted service on corporation, unincorporated association(including partnership),or public entity. By leaving, during usual office hours copies in the office of the person served with the person who apparently was in charge and thereafter mailing (by first-class mail, postage prepaid) copies to the person served at the place where the copies were left. (CCP 415.20(a)) c. Substituted service on natural person, minor, conservatee, or candidate. By leaving copies at the dwelling house, usual place of abode, or usual place of business of the person served in the presence of a competent member of the household or a person apparently in charge of the office or place of business, at least 18 years of age, who was informed of the general nature of the papers, and thereafter mailing (by first-class mail, postage prepaid) copies to the person served at the place where the copies were left. (CCP 415.20(b)) (Attach separate declaration or affidavit stating acts relied on to establish reasonable diligence in first attempting personal service.) d. Mail and acknowledgment service. By mailing (by first-class mail or airmail, postage prepaid) copies to the person served, together with two copies of the form of notice and acknowledgment and a return envelope, postage prepaid, addressed to the sender. (CCP 415.30) (Attach completed acknowledgment of receipt.) e. 0 Certified or registered mail service. By mailing to an address outside California (by first-class mail, postage prepaid, requiring a return receipt) copies to the person served. (CCP 415.40) (Attach signed return receipt or other evidence of actual delivery to the person served.) f. 0 Other(specify code section): additional page is attached. 3. The"Notice to the Person Served" (on the summons) was completed as follows(CCP 412.30,415.10,and 474): a. 0 as an individual defendant. b. 0 as the person sued under the fictitious name of(specify): c. on behalf of(specify): under: = CCP 416.10(corporation) CCP 416.60(minor) other. CCP-41-6.-2D(de un—c corporation]- CCP 41-:70-jconservateeT = CCP 416.40(association or partnership) 0 CCP 416.90(individual) d. 0 by personal delivery on (date): 4. At the time of service I was at least 18 years of age and not a party to this action. 5. Fee for service:$ 6. Person serving: a. California sheriff, marshal, or constable. f. Name,address and telephone number and, if applicable, b. Registered California process server. country of registration and number: c. Employee or independent contractor of a registered California process server. d. 0 Not a registered California process server. e. Exempt from registration under Bus.&Prof. Code 22350(b). I declare under penalty of perjury under the laws of the State (For California sheriff,marshal, or constable use only) of California that the foregoing is true and correct. 1 certify that the foregoing is true and correct. Date: Date: (SIGNATURE) (SIGNATURE) 982(a)(9)[Rev.January 1,'1984]